(A) The agency shall have written policies and procedures regarding the purchasing, receipt, storage, distribution, return, and destruction of medication that include accountability for and security of medications located within any of its facilities. These policies and procedures shall include, but not be limited to the requirements that agencies handling medications shall:
(1) Hold a valid and current terminal distributor of dangerous drugs license from the Ohio board of pharmacy if maintaining a stock supply of medications and/or if participating with the department's central pharmacy to receive dispensed prescriptions.
(2) Locate all medications and prescription blanks in a locked, secure area;
(3) Designate a person(s) having access to or authorized to handle medication and shall maintain a current list of these persons, their credentials and their medication handling responsibilities.
(4) Provide a method to record and follow the medications from the time of receipt to the time of distribution, return to central pharmacy, or destruction. This record shall be retained by the agency for three years and shall include, but not be limited to the following information:
(a) The date and time the medication was received by the agency, distributed to persons served, returned to central pharmacy or, if appropriate, destroyed;
(b) The name(s), credentials and signature of all persons handling the medications; and
(c) The provision that unused medication prescribed for a person shall be appropriately destroyed or returned to central pharmacy, and that, under no circumstances shall the unused medication be issued to another individual. (Return of unused medication prescribed to a person is only allowed when the return is to central pharmacy in accordance with rule 4729-9-04 of the Administrative Code).
(5) Ensure that:
(a) Individuals providing information about the use of medications shall be educated regarding medication issues for groups such as minority-specific populations and children and youth in order to provide appropriate information to these populations, and
(b) All staff handling medications have basic and ongoing instruction and training in safe and effective handling of medications.
(6) Ensure that medications are handled only by authorized persons and that others do not have access to the medications; and
(7) Ensure that controlled substances may be destroyed only by an agent of the Ohio board of pharmacy, or the federal drug enforcement agency, or by transfer to persons registered under Chapters 3719. and 4729. of the Revised Code and according to rule 4729-9-06 of the Administrative Code.
(B) Agencies maintaining a limited stock supply of medications shall:
(1) Allow only a physician or pharmacist to dispense medication, although the following individuals may personally furnish samples of some medications if issued a certificate to prescribe :
(a) Certified nurse practitioner and clinical nurse specialist in accordance with division (D) of section 4723.481 of the Revised Code; and
(b) Physician's assistant in accordance with division (A) of section 4730.43 of the Revised Code.
(2) Have visibly posted the phone number of the nearest poison control center.
R.C. 119.032 review dates: 01/04/2011 and 07/01/2016
Promulgated Under: 119.03
Statutory Authority: 5119.61(A) , 5119.611(C)
Rule Amplifies: 5119.61(A) , 5119.611(C)
Prior Effective Dates: 1/1/91, 10/1/93